NPI 1043462591

Dermatology Office PC

Organisation Dermatology Physician Poplar Bluff, MO

Practice location

Address: 1600 W Harper St, Poplar Bluff, MO 63901-4119
Phone: (573) 686-4750
Fax: (573) 686-4753

Authorised official

Name: Vanessa Adams
Title: Owner/Provider
Phone: (573) 686-4750

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Missouri →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Missouri →

Registry record

NPI: 1043462591
Entity type: Organization
NPI issued: 15 Oct 2008
Record last updated: 16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.